black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JENNIFER M. JENSEN

PRODUCER NON-RESIDENT

License Number:
PRN213023
Status:
First Licensure:
01/26/2013
Cancel Date:
None

Mailing:
MAPLE GROVE, MN 55369
Phone:
+1 (763) 257-1364
Fax:
+1 (763) 257-0164
Email:
jennifer.larsen@jjins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/26/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
ERICKSON LARSEN INC
02/05/2013 AGN213315

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAPITOL INDEMNITY CORPORATION
02/19/2013 PCF162568

Authority

Description Issue Date Termination Date Status
SURPLUS LINES 01/26/2013 Active

Responsible For

Name License Number
ERICKSON LARSEN INC AGN213315

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4678769

Other Addresses

Address Type
MAPLE GROVE, MN 55369
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/11/2025 11:41:29 AM